WQ0036557_Monitoring - 12-2023_20240325

Monitoring Report Submittal
Permit Number#* WQ0036557
Name of Facility:* Mark Miller
Month: * December
Report Information
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
NDMR & NDAR December 2023.pdf 579.6KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Robbin Maynard
Signature:
�i "f%! iIzla t2e
Date of submittal: 3/25/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0036557
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 4/9/2024

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Q11 .
and Tamara Miller-
.
December1
11
.� ■ !7
■Parameter
Monitoring Point:
■ Influent
2 Effluent
surface water
■ Groundwater Lowering ■
- -
-
-
-
-
-
-
-
-
Sampling Type:
Estimate:--
Grab
° Grab ,-
Grab
Grab:."',
Grab
- Grab,_:'",
Grab
`Grab_. ""
Grab
Grab
Grab
Monthly Avg. Limit:
600 :,
10
25*
4
5
Daily Limit:
15
14 '
6
: '90
10
Sample Frequency:
' Monthly'"
Annually
Annually I
Annually
I Annually-j
Annually
I Annually;;
Annually
" Annually -1
2xweek
Annually'.`
Continuous

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Compliant ❑Nan Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Cory Brantley Permittee: Mark Miller
Certification No.: 11553 Signing Official: Mark Miller
Grade: SI Phone Number: 252-478-3721 Signing Official's Title: Mark Miller C
Has the ORC changed since the previous NDMR.
❑ Yes p No Phone Number: �`�� 5;21- 2CPermit Expiration: .2, a0 —9 d
Signature
Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, un Ienalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates -exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Z Compliant
❑ Non -Compliant
C] Compliant
❑ Non -Compliant
O Compliant
❑ Non -Compliant
21 Compliant
❑ Non -Compliant
Q Compliant
❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Cory Brantley Permittee: Mark Miller
Certification No.: 11553 Signing Official: Mark Miller
Grade: SI Phone Number: 252-478-3721 Signing Officials Title: Mark Miller
��� _
Has the ORC changed since the previous NDAR-1? ❑Yes O Phone Number: Permit Exp.: a No oZ�'- .Z.l[
ki -- Jc{
Signature Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617